© 2018 by City Integrative Rehabilitation. Proudly created with Wix.com

Services:

  • Chiropractic Rehabilitation

  • Manual Therapy

  • Movement Assessment

  • Gait Analysis

  • Instrument Assisted Soft Tissue Release

  • Movement Assisted Soft Tissue Release

  • Corrective Exercise

  • Posture Training

  • Ergonomics Evaluation and Training

  • Exercise Instruction

  • Dynamic Neuromuscular Stabilization 

Chiropractic Rehabilitation

CityIR offers a unique style of chiropractic treatment that focuses on addressing the cause of our patients' musculoskeletal pain, including movement pattern rehabilitation and teaching patients the body awareness necessary to stay out of pain.

Our unique physical therapy oriented chiropractic techniques are great for patients of all shapes, sizes, backgrounds, and ages. We treat everyone from athletes to the elderly according to their specific needs.

Corrective Exercise and Exercise Instruction

With each treatment plan the patient is taught corrective exercises that will help to correct the various movement pattern problems that created their musculoskeletal condition. 

In addition, CityIR offers instruction for appropriate movement patterns for strength training exercises conducted in the gym. It is very important to us that each patient is provided with the necessary skills to get out of pain and stay out of pain, especially when exercising.

Manual Therapy

Our approach is hands on. We use a variety of techniques in manual therapy including joint mobilization, joint manipulation (adjusting), manual massage, fascial manipulation, muscle energy techniques ("contract-relax" muscle release), movement assisted soft tissue release, and instrument assisted soft tissue release.

Unlike traditional chiropractic, adjusting is merely a tool in our toolbox, not our only intervention.

Ergonomic Instruction and Training

Ergonomics is the study of people's efficiency in their working environment. With more and more workers spending excessive hours working in difficult ergonomic positions (namely, sitting at a desk and working at a computer), it is our goal to teach our patients how to set up and maintain a work station that puts them in the best position to stay out of pain.

Movement and Postural Assessment

In accordance with their presenting condition, each new patient will be evaluated in both static posture and in numerous specific movement patterns. This will help us to determine what deficiencies are causing pain and dysfunction. This evaluation will serve as a guide for treatment.

 

Every patient is different, every treatment plan is designed to individually address each patient's specific deficiencies.  

Patient Education

CityIR emphasized what we call the "167 hour principle," which means that even when we spend an hour or more per week with our patients, that still leaves 167 other hours where patients are out of the office and have the potential to make their condition worse. We believe that it is critical to patient care that every patient understand their condition and understand how to keep themselves out of pain in the 167 hours outside of the office. 

Our mission is to empower patients to understand their condition and the factors that contribute to creating it. This allows our patients to take control of their condition and their pain, prevent exacerbations, and heal faster.

Gait Analysis

In addition to the movement patterns that are assessed during the initial examination, a patient's walking patterns may also be assessed to determine the nature of their ability to move appropriately during gait. 

The ability to efficiently transfer force during walking plays a vital role in musculoskeletal health. Once gait deficiencies are identified, restorative exercises are administered.

Dynamic Neuromuscular Stabilization

One of the main guiding principles of our practice is Dynamic Neuromuscular Stabilization (DNS). DNS is a physiotherapy system that originated in the Czech Republic and was created through observation of innate movement patterns that are programmed into the neurological development of children from birth.

The basis for DNS is that neurological stability is pre-programmed into the brain and develops as a child grows (following this line of thought, think of a newborn, pretty gooey and unstable, right? Now think of a 1 year old, they are able to walk around and do many activities with great segmental control of their bodies) and that these innate stability patterns can be re-programmed into adults who have "lost" or "unlearned" stable movements and positions because of the stresses of modern life (i.e. sitting in a chair for 8 hours per day, moving poorly because of injuries, etc.). 

These concepts form the foundation of our approach to exercise and body control.